04. BOP-2201 WORKER PROTECTION AND INVESTMENT CERTIFICATION FORM.pdf

This document is a Worker Protection and Investment Certification Form issued by the Commonwealth of Pennsylvania pursuant to Executive Order 2021-06. The form requires contractors and grantees to certify compliance with Pennsylvania's labor and workforce safety laws, including 13 specific statutes ranging from the Construction Workplace Misclassification Act to the Apprenticeship and Training Act.

The certification mandates that contractors confirm they are compliant with all applicable Pennsylvania state labor and workplace safety regulations. By signing the document, the contractor acknowledges potential penalties for false certifications, including contract termination and a three-year ineligibility to bid on contracts under 62 Pa. C.S. § 531. The form requires the contractor's authorized official to sign, print their name, title, and provide the contractor/grantee name, with an understanding that any changes in compliance status must be immediately reported to the purchasing agency.